儿童期受虐医学生分离特质的特点及其影响因素

发布时间：2018-10-13 11:33

【摘要】：目的研究儿童期受虐待医学生分离特质的特点及其影响因素。方法采用整群抽样法,对262名医学生进行儿童期虐待史自评量表(PRCA)、解离特质量表(DTS)、不安全感心理自评量表(SRFIS)、简式大五人格问卷(NEO-FFI-R)、防御方式问卷(DSQ)、自尊量表(SES)、一般自我效能感量表(GSES)、人口社会经济学资料调查问卷等测试。结果儿童期受虐待医学生的分离特质总分和各维度分数高于未受虐待者(t=2.609~3.860,P0.01);分离特质与躯体虐待、情感虐待、性虐待、忽视、神经质、不安全感、不成熟防御、中间型防御、掩饰呈正相关(r=0.13~0.69,P0.05),与外向性、开放性、友善性、谨慎性、自尊、一般自我效能呈负相关(r=-0.13~-0.56,P0.05)。逐步回归分析发现,在控制其他因素的影响后,不成熟防御、不安全感、儿童期虐待、神经质分别与医学生的分离特质呈正相关(Beta值=0.093~0.463,P0.05);外向性、谨慎性、开放性、一般自我效能分别与分离特质呈负相关(Beta值=-0.099~-0.381,P0.05)。结论儿童期受虐待经历对医学生的分离特质具有不良影响,不成熟防御方式、不安全感、人格特质是影响其分离特质的重要因素。
[Abstract]:Objective to study the characteristics and influencing factors of segregated trait of abused medical students in childhood. Methods Cluster sampling was used. A total of 262 medical students were investigated with (PRCA), dissociation trait scale (DTS), self-rating scale of psychological insecurity (SRFIS), (SRFIS), Big five Personality questionnaire (NEO-FFI-R), (DSQ), Self-esteem scale (DSQ), (SES), General Self-Efficacy scale (GSES), population). Social economy data questionnaire and other tests. Results the total score and dimension scores of the medical students who were abused in childhood were higher than those without abuse (t = 2.609 / 3.860 / P0.01), the separation trait and body abuse, emotional abuse, sexual abuse, neglect, neuroticism, insecurity, immature defense, intermediate defense, sexual abuse, neglect, neuroticism, insecurities, immature defense and intermediate defense, respectively. The concealment was positively correlated with extroversion, openness, friendliness, caution, self-esteem and general self-efficacy (P 0.05). Stepwise regression analysis showed that immature defense, insecurity, childhood abuse and neuroticism were positively correlated with the separation traits of medical students after controlling for other factors (Beta = 0.093, 0.463P0.05), extroverted, cautious and open. There was a negative correlation between general self efficacy and segregation trait (Beta =-0. 099-0. 381P. 05). Conclusion the experience of childhood abuse has a negative effect on the separation trait of medical students. Immature defense style, insecurity and personality trait are the important factors that affect the separation trait of medical students.
【作者单位】：江苏省徐州市东方人民医院心理卫生研究所;徐州医学院;
【基金】：江苏省卫生厅医学科研课题项目(编号:H200876)
【分类号】：R395.6

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